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�lI«av (;; � Jul <br /> SAN JOAQUIN COUNTYPUSLIC HEALTH SERVKC E$ u� u wue,�ua <br /> MAR 0 8 2001 ENVIRONMENTAL HEALTH DIVISION <br /> 304 FAST WESER,AVENUE,THIRD FLOOR <br /> „•, ,I-.,, L STOCKTON CA 93202 <br /> ENVIF.(�I(;•,I�� i ,i_ALiH (2o9)460-3420 <br /> PE's(:"�IIihS ``R!�IC-S PUBLIC RECORDS RELEASE <br /> nn APPLICATION <br /> APPLICANT i'1�"V (LS�bJ HUSINESSIAGENCY IRC I Pb",r' <br /> AODREssSOS oe1i1E�C(AL CteCLE (oucoP+ O I�ZD 1 <br /> PHONE. Ri: `�1 FACS1Ir71LE qZ5- <br /> « w J <br /> t'pENTAT(VE'APPOINTMENT DATE Imma <br /> ;> (Please give 7 to 10 business days from date of appltoation submlttan <br /> YY CHECK ROXTO BXPED(TE REQUEST, IFEE-REQUEST PROCESSED IN 3 SU51NESS DAYS; <br /> SIGNATURE OF APPLICANT PATE -$' D <br /> FILE AUORESS THIS SIDE E110 STAFF USE ONLY <br /> PROGRAM ELEMENTS SEARCH <br /> (ll`( OF Lob\ rLodF PQ4q Op faU�M1rlwgT�.tS.) Lo01 CA g62H0 <br /> D19 I $Acf At d-n ST 1,00 o P rIE NStet toe fF82v4 <br /> t,hQt!Ww.t <br /> 1313 Sony_ 5 J 5i Lupi (A qUl o IRLLI ,wpu TCi ES �y S0 <br /> 801 wR�f 5tt NA7ti4 5 a0 2N0 TJ1Lo <br /> Zo Su.l1�{ 5 (Q tfE Sl Lop1 (q siao Lop! QO� wOEt; _ <br /> ho . Lo VP}"h•$Ur I)rb G Y '/ 1 i L <br /> IWQ " Qh p rloT mr <br /> 'L f .3r ENVIRONMENTAL HEALTH DIVISION FILES ! <br /> -Z UNDERGROUND TANK(US UP SITE(LOP) ❑ HOUSING ABATEMENT ;5-SOLID)°TASTE FACILTrY <br /> .t OTHER CLEANUP SITE(NON-LOP) ❑ FOOD FACLUTY ❑ SOLID INASTt VEHICLE <br /> 'fes UNDERGROUND TANK(MONITORINGIRELIOVAL) ❑ DOG KENNEL ❑ DALRTI <br /> HAZARDOUS WAST;GENERATOR ❑ CHICKEN RANCH Q PKK TREATMENT PLANT <br /> jz+TIERED PERMITTED FACILITY E3 MOTEUnOTEL. ❑ PUNPIER THUCKrYARD1CHEM TOILETS <br /> O TATTOOIS0DYPEIRC11gG ❑ POOLIsPA "' ❑ LAND OSE APPLICATION sn-es <br /> ❑ N:EOICAL WASTE FACILITY ❑ PUBLIC WATER SYSTEM ❑ OTHFA!(PLCASESPECIFYABOVI?) <br /> 1. List up to ten addresses in tha space above. Select thee type(s)of files fror the Ilst above by checking <br /> the appropriate box(es). At least one file type MUST be selected_ Fax to (209)4640138 or mail to the <br /> address indicated above_ I <br /> 2. END will natty the applicant if any EHE)files ex)st. An appointment for review will be confirmed <br /> approximately five business days but no later than ten (10)days after receipt of application. 7hefues <br /> will be held for a maximum Of five business days for review. Appointment should be scheduled <br /> accordingly. <br /> 3. A file that is actively being worked on by END staff may not be immediately.available for review. A new <br /> application may be submitted When the file isavaliable. <br /> 4. Any fits not returned in the same condition as released will be reorganised Py FJ-ID staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a$47-00 deposit prior to review. <br /> 3. "TENTATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 pm will be processed the next business dax. <br /> I <br /> c <br /> CONFIRMED APPOINTMENT DATE <br /> TIME i <br /> I <br /> DATE CONFIRMED PHONE FAX IN, <br /> REVIEWED YES NO REVIEW DATE <br /> TB'd 88LF #J55'c6T DI. 4AJd Wd'oT:ZO TOBE-BB-EB <br />